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Remote Prior Authorization Rn Jobs in New York (NOW HIRING)

Intake Specialist- Infusion Pharmacy

Lawrence, NY ยท On-site +1

$18.75 - $25.25/hr

... s with the appropriate experience. This position offers flexibility for remote or hybrid work ... Coordinate and submit prior authorization (PA) requests for PN and DME therapies, ensuring full ...

Intake Specialist- Infusion Pharmacy

Lawrence, NY ยท On-site +1

$18.75 - $25.25/hr

... s with the appropriate experience. This position offers flexibility for remote or hybrid work ... Coordinate and submit prior authorization (PA) requests for PN and DME therapies, ensuring full ...

RN Supervisor (Hybrid Remote)

Bronx, NY ยท On-site +1

$80K - $85K/yr

... and remote training * Proficiency with Word, Excel, Outlook Calendar, and other software programs needed in the role Supervisory Responsibilities: * Supervise Registered Nurses in school/clinic ...

RN Supervisor (Hybrid Remote)

Bronx, NY ยท On-site +1

$80K - $85K/yr

... and remote training * Proficiency with Word, Excel, Outlook Calendar, and other software programs needed in the role Supervisory Responsibilities: * Supervise Registered Nurses in school/clinic ...

RN Supervisor (Hybrid Remote)

Bronx, NY ยท On-site +1

$80K - $85K/yr

... and remote training * Proficiency with Word, Excel, Outlook Calendar, and other software programs needed in the role Supervisory Responsibilities: * Supervise Registered Nurses in school/clinic ...

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Showing results 1-20

Remote Prior Authorization Rn information

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are the most commonly searched types of Prior Authorization Rn jobs in New York? The most popular types of Prior Authorization Rn jobs in New York are:
What are popular job titles related to Remote Prior Authorization Rn jobs in New York? For Remote Prior Authorization Rn jobs in New York, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in New York look for? The top searched job categories for Remote Prior Authorization Rn jobs in New York are:
What cities in New York are hiring for Remote Prior Authorization Rn jobs? Cities in New York with the most Remote Prior Authorization Rn job openings:
Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

Onco360

New Hyde Park, NY โ€ข On-site, Remote

$21.75 - $28.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Job description

Pharmacy Prior Authorization Specialist โ€“ Onco360 Pharmacy
New Hyde Park, NY | Full-Time | Starting at $25.00/hr and up
Sign-On Bonus: $5,000 for employees starting before August 31, 2026!
Join a mission-driven team making a difference in the lives of cancer and rare disease patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in New Hyde Park, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability

What Youโ€™ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How Youโ€™ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.

What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion